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Married Wisconsin residents must furnish their the applicant s name and social security number as well as the name and address of their spouse to TIB-The Independent BankersBank at P. O. Box 569120 Dallas TX 75356-9120. BUSINESS NAME BORROWER BUSINESS ADDRESS CITY STATE BUSINESS PHONE ZIP CODE TAX ID OWNERSHIP CHECK ONE o Sole Proprietorship o Partnership o Private Corporation Type of goods or services provided If proprietorship partnership or private corporation have any of the principals...

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